The nurse is assessing a client in the third trimester of pregnancy and notes a yellowish discharge from both breasts. The nurse would correctly choose which of the following actions?
1. Ask the client if she is preparing for breastfeeding.
2. Notify the healthcare provider.
3. Document the findings as normal.
4. Obtain a culture of the discharge immediately.
3
Rationale 1: Colostrum, a yellowish, specialized form of early breast milk, is produced starting in the second trimester and is replaced by mature milk during the early days of lactation after birth. This substance is produced regardless of whether the woman is planning to breastfeed, making this inquiry unnecessary.
Rationale 2: Colostrum, a yellowish, specialized form of early breast milk, is produced starting in the second trimester and is replaced by mature milk during the early days of lactation after birth. This substance is produced regardless of whether the woman is planning to breastfeed, making this inquiry unnecessary. This is a normal finding and does not require a culture, additional subjective information, or notification of the healthcare provider.
Rationale 3: Colostrum, a yellowish, specialized form of early breast milk, is produced starting in the second trimester and is replaced by mature milk during the early days of lactation after birth. This substance is produced regardless of whether the woman is planning to breastfeed, making this inquiry unnecessary. This is a normal finding and does not require a culture, additional subjective information, or notification of the healthcare provider.
Rationale 4: Colostrum, a yellowish, specialized form of early breast milk, is produced starting in the second trimester and is replaced by mature milk during the early days of lactation after birth. This substance is produced regardless of whether the woman is planning to breastfeed, making this inquiry unnecessary. This is a normal finding and does not require a culture, additional subjective information, or notification of the healthcare provider.
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